ỨNG DỤNG PHẪU THUẬT XÂM LẤN TỐI THIỂU LẤY MÁU TỤ TRONG NÃO TRONG ĐIỀU TRỊ XUẤT HUYẾT NÃO TỰ PHÁT TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Background: Minimally invasive surgery, especially endoscopic hematoma evacuation, is increasingly preferred to reduce brain tissue damage and complications in treating spontaneous intracerebral hemorrhage. This method, used in many hospitals globally, shows benefits compared to traditional open craniotomy. Objectives: The study aimed to evaluate the initial effectiveness of minimally invasive surgery for this condition. Materials and methods: A prospective, crosssectional descriptive study was conducted on 32 adult patients, 18 years of age or older, with supratentorial intracerebral hemorrhage, diagnosed via CT scans, treated with endoscopic hematoma evacuation at People’s Hospital 115 from January to December 2023. Results:  Surgery averaged 53 minutes, with 65 ml average blood loss. Hematoma was fully removed in 78% of cases, reducing volume by 87.5%. Recovery took about 9 days on average, but 62.5% developed pneumonia, and 34.3% died. Survivors had an average Glasgow Outcome Scale score of 3. Conclusion: Endoscopic hematoma evacuation is effective and less invasive than traditional methods, but further improvements in technique and care are needed to enhance results.